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Modified Mau Osteotomy for the Treatment of Severe Hallux Valgus (중증 무지외반증에서 변형 Mau 절골술을 이용한 치료)

  • Bae, Su-Young;Kim, Young-Eun
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.2
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    • pp.117-120
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    • 2004
  • Purpose: The purpose of this study was to evaluate the effect and short-term results of the modified Mau osteotomy designed by the author. Materials and Methods: Seventeen feet treated with newly designed osteotomy from 2003 to 2004 were included. We performed metatarsal osteotomy and distal soft tissue procedure on 17 feet (12 patients) and additional Akin osteotomy on 6 feet (4 patients). An oblique osteotomy was made from the neck in the dorsum, aiming proximal to the base of the first metatarsal with vertical short arm on the base. We performed long arm of osteotomy parellel to the acrylic plate which was supposed as ground plane. Preoperative radiographs and follow up radiographs at three month were used for radiologic evaluation. Results: Mean hallux valgus angle was $43.6^{\circ}$ and mean intermetatarsal angle was $20.4^{\circ}$ on preoperative weight bearing radiograph. Mean amount of correction of the hallux valgus angle was $37.5^{\circ}$ and intermetatarsal angle was $14.2^{\circ}$ at three months after operation. There was no fixation loss or malunion, and the clinical result was subjectively exellent. Conclusion: More proximal rotational axis can achieve sufficient intermetatarsal angle correction, and vertical arm can provide more stable contact. So this newly modified Mau osteotomy was considered as a good alternative procedure in the treatment of severe hallux valgus.

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Effects of Diverse Water Pipe Materials on Bacterial Communities and Water Quality in the Annular Reactor

  • Jang, Hyun-Jung;Choi, Young-June;Ka, Jong-Ok
    • Journal of Microbiology and Biotechnology
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    • v.21 no.2
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    • pp.115-123
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    • 2011
  • To investigate the effects of pipe materials on biofilm accumulation and water quality, an annular reactor with the sample coupons of four pipe materials (steel, copper, stainless steel, and polyvinyl chloride) was operated under hydraulic conditions similar to a real plumbing system for 15 months. The bacterial concentrations were substantially increased in the steel and copper reactors with progression of corrosion, whereas those in stainless steel (STS) and polyvinyl chloride (PVC) reactors were affected mainly by water temperature. The heterotrophic plate count (HPC) of biofilms was about 100 times higher on steel pipe than other pipes throughout the experiment, with the STS pipe showing the lowest bacterial number at the end of the operation. Analysis of the 16S rDNA sequences of 176 cultivated isolates revealed that 66.5% was Proteobacteria and the others included unclassified bacteria, Actinobacteria, and Bacilli. Regardless of the pipe materials, Sphingomonas was the predominant species in all biofilms. PCR-DGGE analysis showed that steel pipe exhibited the highest bacterial diversity among the metallic pipes, and the DGGE profile of biofilm on PVC showed three additional bands not detected from the profiles of the metallic materials. Environmental scanning electron microscopy showed that corrosion level and biofilm accumulation were the least in the STS coupon. These results suggest that the STS pipe is the best material for plumbing systems in terms of the microbiological aspects of water quality.

Changes in Postural Deviation Caused by the Pain Area (통증위치에 따른 자세 치우침의 차이비교)

  • Bang, Sang-Boon;Joung, Ho-Bal
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.97-106
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    • 2002
  • Purpose. This study was tried to compare the effect of the change in postural deviation caused by the pain side Subjects and Methods. Inpatients and outpatients (n=71) were selected from I hospital who have a musculoskeletal low back pain and shoulder pain without any history of the central nervous system (CNS) lesions, orthopaedic problems of the both lower extremities, or the vestibular and the visual default. For the control group, normal and healthy subjects (n=30) were selected without any history of weight bearing disorders. the weight bearing was rated by the computerized force plate. Results. 1) Postural deviation was not significant difference between patients and control group(p<0.01). But postural deviation in patients was more pronounced than control group. 2) There was significant difference of postural deviation between in patients according to the pain side(p<0.01). When the pain side was on the left side, postural deviation tended to the right. When the pain side was on the right side and vertebral body, postural deviation tended to the left. 3) There was no significant difference of postural deviation between regional pain in shoulder and regional pain in low back(p<0.01). Discussions and Conclusion. As a result, the pain, for sure, affected the good posture and its keeping process directly or/and indirectly. Therefore, as the postural deviation increases, the additional energy consumption increased by the works of the muscles to keep the good posture. Preponderated postural deviation, furthermore, could load too much to the musculoskeletal system, leading to increase the pain. The postural deviation, a result of the pain, can cause a secondary deformity of the distal area as a compensatory reaction, and this compensation actually become a cause of the musculoskeletal symptom back in a cycle. Therefore, the appropriate treatment of the musculoskeletal problem and the education of the posture correction should be given to decrease the pain, preventing the secondary deformities, and increasing muscle energy efficiency of the posture remaining muscles.

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Study on the Performance of Laser Welded joint of Aluminum alloys for Car Body

  • Kutsuna, Muneharu;Kitamura, Shuhei;Shibata, Kimihiro;Salamoto, Hiroki;Tsushima, Kenji
    • Proceedings of the KWS Conference
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    • 2002.10a
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    • pp.620-625
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    • 2002
  • Considering the fuel consumption of car, a light structure of aluminum alloys is desired for car body nowadays. However, fusion welding of aluminum alloys has some problems of reduction of joint efficiency, porosity formation and hot cracking. ill the present work, investigation to improve the joint performance of laser welded joint has been carried out by addition of Cu, Ni, and Zr to A6N01 alloy welds. Aluminum alloy plate of 2.0mm in thickness with filler metal bar was welded by twin beam Nd:YAG laser facility (total power:5kW). The filler metals were prepared by changing the chemical compositions for adding the elements into the weld metal. Thirteen filler metal bars were prepared and pre-placed into the base metal before welding. Ar gas shielding with a flow rate of 10 l/min was used. The defocusing distance is kept at 0 mm. At travel speeds of 3 to 9 m/min and at laser power of 5kW (front beam 2kW rear beam 3kW), full penetration welds were obtained, whereas at travel speeds of 12 to 18 m/min and same power, partial penetration was observed. The joint efficiency of laser-welded joint was improved by the addition of Cu, Ni, and Zr due to the solid solution hardening, grain refining and precipitation hardening. The type of hardening has been further considered by metallurgical examination.

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Evaluation of Sensory Nerve Function Before and after Intraoral Vertico-Sagittal Ramus Osteotomy Using Current Perception Threshold(CPT) Test (구강내하악지수직시상골절단수술 전후 전류역치검사(CPT)를 이용한 지각신경의 변화에 대한 연구)

  • Choung Pill-Hoon;Kim Sao-Geol;Seo Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.4 no.1
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    • pp.39-43
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    • 2001
  • The design of osteotomy plane in orthognathic surgery has been developed to diminish the nerve injury. Intraoral Vertico-Sagittal Ramus Osteotomy (IVSRO) is the one of the best way to minimize untoward results, which is designed not to expose the lingula. We evaluated the nerve damage before and after with current perception threshold (CPT) test which is modem and numerically expressible way of nerve damages. Sixty patients underwent IVSRO since 1998 were evaluated. They were divided into 2 groups; one group underwent IVSRO only, and the other underwent IVSRO plus genioplasty. The both groups were evaluated with CPT test 1 week before surgery, and 1, 3 and 6 months after surgery. The CPT test was performed on A-beta, A-delta and C fiber respectively. 111e result showed that the recovery of sensory function of damaged nerve fibers was observed at the period of three to six months after surgery. There was no impairment of nerve function after only the IVSRO . But there were sensory disturbances in cases of additional genioplasty group. We thought that one of major factors on nerve damages were exposure of nerve and traction injury during genioplasty.

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A Numerical Study on the Performance Improvement of Kitchen Range Hood by Air Induction and Air Curtain (유도공기 및 에어커튼을 이용한 주방 레인지후드 성능 개선에 관한 수치모사)

  • Sohn, Deok-Young;Lim, Ji-Hong;Choi, Yun-Ho;Park, Jae-Hoon
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.19 no.4
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    • pp.321-327
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    • 2007
  • In an apartment house that is generally air-tight and well insulated, the combustion gas from cooking devices is the major source of air pollution in the kitchen. It spreads throughout the house affecting the overall Indoor all quality. In this study, the performance of the kitchen range hood which employs air induction and air curtain was investigated by numerical simulation. The results are compared with that of two other kitchen range hoods which are in general use. The two general types of range hoods considered in the present calculations are box and plate type range hoods. The former has a large capture space between the filter and suction duct, while the latter has little. It was found that the capture efficiency of the kitchen range hood with air induction and air curtain Is higher than that of the general types of range hoods by 20% approximately The reason may be because the air induction and the air curtain block the air stream escaping from the front and the side part of range hoods effectively and because an additional fan for air induction and air curtain increases suction flow rates.

Continuous Half Passive Motion under Distracted External Fixation for the Treatment of Distal Tibial Pilon Fractures (신연 외고정 및 지속적 반수동 운동을 이용한 경골 원위부 필론 골절의 치료)

  • Bae, Su-Young;Chung, Hyung-Jin;Shin, Yong-Woon;Park, Jae-Gu
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.146-150
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    • 2010
  • Purpose: Pilon fracture has several serious complications such as joint stiffness, arthrosis and delayed angular deformity. We report short-term results of new treatment modality using distracted dynamic external fixators and early controlled ankle motion. Materials and Methods: Eight cases of severe pilon fractures for which we tried small plate fixation and additional distracted dynamic external fixators from July 2007 to June 2009 were included. Half passive continuous ankle joint motion was allowed under free hinged ring fixators after the operation. The external fixators were removed after two or three months from the surgery. We investigated joint space by radiograph, joint pain, range of motion, patient's satisfaction of treatment protocol. Results: Joints were distracted when external fixators were applied and mean 28% of space loss developed after removal of external fixators. In most of cases, satisfactory alignments were maintained. Regarding range of joint motion, mean dorsiflexion angle was 15 degrees and mean plantarflexion angle was 32 degree in the condition of wearing external fixators. There was mean 8% reduction of range of motion but no further progression of ankle stiffness after removal of external fixators. Dorsiflexion was not improved after that, but plantarflexion angle was improved 10% even after removal of external fixators. Patients were generally in compliance with the treatment protocols with high level of satisfaction. Conclusion: We got good results with distracted dynamic external fixators and early continuous half-passive joint motion for pilon fractures in terms of joint pain and range of motion. Therefore we suggest this new protocol as an alternative modality for severe pilon fractures.

Detection of Antistaphylococcal and Toxic Compounds by Biological Assay Systems Developed with a Reporter Staphylococcus aureus Strain Harboring a Heat Inducible Promoter - lacZ Transcriptional Fusion

  • Chanda, Palas Kumar;Ganguly, Tridib;Das, Malabika;Lee, Chia Yen;Luong, Thanh T.;Sau, Subrata
    • BMB Reports
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    • v.40 no.6
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    • pp.936-943
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    • 2007
  • Previously it was reported that promoter of groES-groEL operon of Staphylococcus aureus is induced by various cellwall active antibiotics. In order to exploit the above promoter for identifying novel antistaphylococcal drugs, we have cloned the promoter containing region ($P_g$) of groES-groEL operon of S. aureus Newman and found that the above promoter is induced by sublethal concentrations of many antibiotics including cell-wall active antibiotics. A reporter S. aureus RN4220 strain (designated SAU006) was constructed by inserting the $P_g$-lacZ transcriptional fusion into its chromosome. Agarose-based assay developed with SAU006 shows that $P_g$ in single-copy is also induced distinctly by different classes of antibiotics. Data indicate that ciprofloxacin, rifampicin, ampicillin, and cephalothin are strong inducers, whereas, tetracycline, streptomycin and vancomycin induce the above promoter weakly. Sublethal concentrations of ciprofloxacin and ampicilin even have induced $P_g$ efficiently in microtiter plate grown SAU006. Additional studies show for the first time that above promoter is also induced weakly by arsenate salt and hydrogen peroxide. Taken together, we suggest that our simple and sensitive assay systems with SAU006 could be utilized for screening and detecting not only novel antistaphylococcal compounds but also different toxic chemicals.

A Study of Normal Nasalance and Velopharyngeal Port Activity in the Speech of Korean Adults (정상 성인의 비음도와 비인강 활성도에 관한 연구)

  • Leem Dae-Ho;Shin Hyo-Keun;Baek Jin-A.;Kim Hyun-Gi;Kwon Min-Su
    • Korean Journal of Cleft Lip And Palate
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    • v.7 no.2
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    • pp.123-132
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    • 2004
  • The purpose of this study was to obtain normative nasalance scores for adult subjects speaking the Korean language. Additional objectives of the study were to determine if speaker sex played a role in differences in nasalance score and there was significantly correlation of nasalance score with nasalance slope score. The subjects include 75 healthy young Korean adults with normal oral and velopharyngeal resource and function. They had no history of speech problem, were judged as having normal speech and resonance at the time of testing, and had no upper respiratory tract infections or allergies at the time of testing. The Nasometer II 6400 was used to obtain nasalance scores and nasalance slope scores for /a/, /i/, /e/, /o/, /u/, /ja/, /je/, /wi/, /p'ap'i/ and /sasi/. The data of nasalance and nasalance slope were analyzed statistically. The mean nasalance score of the female was significantly higher than that of male at /a/, /i/, /wi/, /p'ap'i/ and /sasi/(p <0.10). The mean nasalance score of /i/ was highest and that of /o/ was the lowest. In this study, we could not and the relationship of the nasalance score and the closing slope score. However, there was negative correlation between the mean nasalance score and the opening slope score at ie/ and /;ai, positive to /sasi/. These normative nasalance scores for normal young adults speaking the Korean language provide important reference information for Korean cleft palate teams. In the future study of velopharygneal activity with the Nasometer, the opening slope score will be able to be the important parameter.

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A Model Test Study on the Effect of the Stern Interceptor for the Reduction of the Resistance and Trim Angle for Wave-piercing Hulls (파랑관통형 선형의 저항 및 트림각 감소를 위한 선미 인터셉터 부착효과에 관한 모형시험 연구)

  • Kim, Dae Hyuk;Seo, Inn-Duk;Rhee, Key-Pyo;Kim, Nakwan;Ahn, Jin-Hyung
    • Journal of the Society of Naval Architects of Korea
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    • v.52 no.6
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    • pp.485-493
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    • 2015
  • Planing hull form is widely used as a high speed vessel hull. There is a problem of the planing hull not solved yet. The problem is that the planing hull has very large vertical acceleration and large heave and pitch motions. As one method for overcoming this problem, there is "wave-piercing hull". Before the motion in waves is investigated, the resistance and running attitude must be investigated. In this paper, the running attitude and resistance of two wave-piercing hulls are investigated by model tests. Model test results show that the wave-piercing hulls have large trim angle and sinkage at the high speed, so additional model tests are conducted by using the hull appended by stern interceptor that is very thin plate to increase the hydrodynamic pressure at the attached location. The results are compared with other planing hulls and the resistance components and the hydrodynamic force are discussed. From the model test results, it can be known that the stern interceptor is the effective appendage for the reduction of the resistance and trim angle of wave-piercing hull.